So wo ba nso betumi anya saa nwansena yare yi? Momma yensua (Visceral Larva Migrans) ho ade!

So woahu pɛn sɛ ɛtɔ mmere bi a wo ba kumaa no de efĩ gu n’anom bere a ɔredi agoru wɔ abɔnten no? Anaasɛ woasusuw pɛn sɛ wo, titiriw wo mma, betumi ayare afi wo kraman anaa ɔkraman ba a wodɔ no no hɔ wɔ fie? Ɛnnɛ yɛrebɛka nwansena yareɛ bi a yɛn, titire yɛn mma, bɛtumi anya afiri mmoa a wɔte saa mu ho asɛm, nanso yɛntee ho asɛm pii, nanso ɛho hia paa. Eyi ne nea nnuruyɛfo frɛ no `(Visceral Larva Migrans)`.

Dɛn ne saa Visceral Larva Migrans yi?

Sɛ yɛbɛka no tiawa a, Visceral Larva Migrans yɛ ɔyare mmoawa a ɔyare mmoawa a wɔsɛe nnɔbae a wotumi fi mmoa mu kɔ nnipa mu, titiriw mmofra nkumaa. Saa nwansena yi taa wɔ mmoa te sɛ akraman ne mpataa dwensɔtwaa mu. Mpɛn pii no, saa ɔyare mmoawa yi mfa sɛnkyerɛnne atitiriw biara mma. Eyi kyerɛ sɛ ebia wo anaa wo ba no nnim mpo sɛ wowɔ bi. Nanso, nnipa binom betumi anya yare no ho sɛnkyerɛnne te sɛ yafunu mu yaw ne mmerɛwyɛ. Eyi ne bere a ayaresa ho hia.

Enti nwansena bɛn na ɛde yare yi ba?

Visceral Larva Migrans no fi nwansena kurukuruwa bi a wɔfrɛ no Toxocara titiriw. Toxocara nwansena ahorow pii wɔ hɔ:

• `(Toxocara canis)`: Eyinom ne nea wohu wɔ akraman dwensɔtwaa mu.
• `(Toxocara cati)`: Saa nnipa yi te mpataa dwensɔtwaa mu.
• `(Ascaris suum)`: Saa su yi fi mprako mu.
• `(Baylisascaris procyonis)`: Saa nnipa yi wo mmoa a wɔfrɛ wɔn raccoons pɔtee (ɛho nhia sɛ wɔhaw wɔn ho wɔ eyi ho efisɛ raccoon biara nni Sri Lanka).

Wɔ yɛn man yi mu no, akraman ne mpataa na wɔboa titiriw ma yare yi trɛw.

Dɛn ne Toxocariasis?

`(Toxocariasis)` ne aduruyɛ mu din a wɔde frɛ yareɛ a `(Toxocara)` nwansena no nwansena de ba, kyerɛ sɛ, `(Toxocara canis)` nwansena a yɛadi kan aka ho asɛm a ɛfiri akraman mu ne `(Toxocara cati)` nwansena a ɛfiri mpataa mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, `(Toxocara)` yɛ ɔyare mmoawa a ɛwɔ `(Toxocara)` mu.

Saa tebea yi (Toxocariasis) betumi aka yɛn nipadua wɔ akwan atitiriw abiɛsa so:

1. Visceral Larva Migrans: Eyi ne bere a nwansena no tu kwan kɔ yɛn mu akwaa te sɛ mmerɛbo, ahurututu, ne koma mu, na ɛsɛe wɔn.

2. Ocular Larva Migrans: Wɔ eyi mu no, nwansena larvae hyɛn aniwa no mu na ɛma ɔfe ba aniwa no mu. Ɛtɔ da bi mpo a, eyi tumi ma obi ntumi nhu ade yiye.

3. Neurotoxocariasis: Eyi yɛ tebea a ɛntaa nsi. Wɔ eyi mu no, nwansena no ka amemene ne akyi berɛmo. Eyi betumi ama obi ho ahonhon kɛse, ne ho atɔ no, na wayɛ basaa (encephalopathy).

Ɔkwan bɛn so na saa `(Toxocara)` nwansena yi trɛw fi mmoa mu kɔ yɛn nkyɛn? Wɔ ɔkwan a ɛyɛ nwonwa yiye so!

Fa no sɛ, `(Toxocara)` nwansena te aboa a wɔde ɔyare no ba no dwensɔtwaa mu, kyerɛ sɛ, ɔkraman anaa ɔkraman. Ɛhɔ no, saa nwansena yi to nkesua. Saa nkesua yi ne aboa no nsu fi adi. Afei, saa mmoa yi nsuo a `(Toxocara)` nkesua wom no boaboa ano wo asase mu, kyerɛ sɛ, asase mu. Wɔ saa kwan yi so no , nkesua a ɔyare no wɔ no betumi akɔ so ayɛ adwuma wɔ asase no mu asram pii.

Wunim sɛnea yɛnya saa `(Toxocara)` yi? Sɛ yɛde dɔte a saa nkesua yi wom no hyɛ yɛn anom wɔ akwanhyia mu a. Sɛ mmofra nkumaa di agoru wɔ abɔnten a, wɔtetew dɔte na ɛtɔ mmere bi a wɔde gu wɔn anom. Ɛno ne bere a ɛda adi kɛse sɛ wobenya ɔyare no. Afei nso, wobetumi atrɛw afi nhabannuru ne nnuaba a wodua wɔ asase a ɛho agu fĩ saa mu na wɔadi a wonhohoro ho yiye.

Adeɛ a ɛho hia ne sɛ, sɛ saa `(Toxocara)` nkesua yi hyɛn yɛn nipadua mu wie a, ɛnyini nkɔyɛ nwansena akɛseɛ na ɛfiri aseɛ to nkesua wɔ yɛn dwensɔtwaa mu. Mmom no, nwansena fi nkesua no mu. Saa nwansena yi fi yɛn dwensɔtwaa mu na ɛkɔ nipadua no mu ntini afoforo mu. Mmeae te sɛ mmerɛbo, ahurututu, aniwa, ne amemene. Awiei koraa no, saa nwansena yi wuwu wɔ hɔ. Nanso, bere a wɔretu kwan no, ɛsɛe yɛn ntini ahorow no. Ɛyɛ saa ɔsɛe yi nti na sɛnkyerɛnne ahorow no da adi.

Nsonsonoe bɛn na ɛwɔ `Visceral larva migrans` ne `Cutaneous larva migrans` ntam?

Ɛwom sɛ edin ahorow no te sɛ nea ɛte de, nanso ɛsono tebea abien no koraa. Visceral larva migrans fi roundworms a yɛadi kan aka wɔn ho asɛm no larvae a ɛkɔ nipadua no mu ntini ahorow mu na wowuwu. Nwansena soronko bi a wɔfrɛ no hookworms na ɛde honam ani larva migrans ba. Mpɛn pii no, honam ani larva migrans ma honam ani akisikuru kɔkɔɔ a ɛyɛ yaw na ɛyɛ kɔkɔɔ.

Saa yare yi abu so dɛn? So yɛwɔ asiane mu?

Sɛ wohwɛ akontaabu a ɛwɔ ɔman te sɛ Amerika mu a, bɛyɛ nnipa du biara mu biako anya `(Toxocara)` wɔ wɔn asetra mu bere bi. Nanso, nnipa pii nnya yare no ho sɛnkyerɛnne biara na wonnim mpo sɛ wɔanya ɔyare mmoawa a ɛte saa.

Nnipa a wɔwɔ aman a afei na wɔrenya nkɔso mu no taa nya Toxocara, na wɔtaa nya Visceral Larva Migrans nso.

Yɛn afieboa a yɛdɔ wɔn, akraman ne mpataa, nso betumi anya saa nwansena yi. Titiriw wɔn a wɔde bere pii tra abɔnten no. Nhwehwɛmu ahorow ada no adi sɛ bɛyɛ akraman 2% ne mpataa 5% wɔ United States wɔ nwansena wɔ wɔn dwensɔtwaa mu. Enti, ebia tebea a ɛwɔ yɛn man yi mu no bɛyɛ saa ara anaasɛ ɛbɛkɔ soro mpo.

Hena na ɛda adi kɛse sɛ obenya `Visceral Larva Migrans`?

• Mmofra a wonnii mfe 6 na wɔtaa nya saa `(Toxocara)` yi na wonya `(Visceral Larva Migrans`. Eyi te saa efisɛ wɔn na ɛda adi kɛse sɛ wɔbɛwe dɔte a wɔanhyɛ da bere a wɔredi agoru wɔ abɔnten.
• Saa asiane yi nso yɛ kɛse ma nnipa a wɔhwɛ afieboa te sɛ akraman ne mpataa.
• Nnipa a wɔte mmeae a ɛhɔ yɛ hyew nso wɔ asiane kɛse mu sɛ wobenya saa `(Toxocara)` nkesua yi. Nea enti a ɛte saa ne sɛ saa nkesua yi tumi tra ase kyɛ wɔ asase a ɔyare mmoawa wom so wɔ wim tebea a ɛyɛ hyew mu. Eyi fa ɔman te sɛ Sri Lanka ho yiye.

Dɛn nti na sɛnkyerɛnne ahorow da adi bere a `Visceral Larva Migrans` aba no?

Visceral Larva Migrans fi nwansena kurukuruwa (Toxocara) mu. Sɛ wunya ɔyare no wie a, saa nwansena yi fi dwensɔtwaa no mu kɔ akwaa a ɛwɔ wo koko ne wo yafunu mu no mu. Ɛntaa mma sɛ saa nwansena yi nso tumi tu kwan kɔ w’ani, w’amemene, ne w’akyi berɛmo mu.

Wɔ Toxocara yareɛ bi ho mmuaema mu no, wo nipadua no yɛ nkwammoaa a ɛko tia nyarewa pii wɔ wo mogya mu. Eyi ma mogya no kɔ soro na ɛma nipadua no mu nkwammoaa a ɛko tia nyarewa no ba baabi a ɔyare no wɔ no, na ɛma ɔfe no. Nsɛnkyerɛnne a wuhu no gyina sɛnea wo nipadua no mu tumi a ɛko tia nyarewa no yɛ n’ade denneennen wɔ Toxocara yare no ho no so.

Dɛn ne yare yi ho sɛnkyerɛnne? So ɛto obiara?

Nnipa dodow no ara a wɔanya Toxocara no nhu sɛnkyerɛnne biara. Nanso, sɛ yare no ho sɛnkyerɛnne ahorow ba ampa a, nea ɛka ho ne:

• Ɔbrɛ
• Huraeɛ
• Mogya mu nkwammoaa fitaa bi a wɔfrɛ no eosinophil a ɛkɔ soro wɔ mogya no mu (eosinophilia) - Eyi kyerɛ sɛ ɔyare mmoawa anaasɛ akisikuru bi wɔ nipadua no mu.
• Ntini mu ntini mu yare
• Yafunu mu yaw
• Hives / urticaria a ɛyɛ mmerɛw
• Ɛwa
• Ahomegye a ɛyɛ hu
• Mmerɛbo a ɛho ahonhon (hepatomegaly) .
• Splenomegaly a ɛyɛ kɛse

Ɔkwan bɛn so na oduruyɛfo hu eyi? Sɔhwɛ bɛn na wɔyɛ?

Oduruyɛfo bi behu Visceral Larva Migrans denam nipadua mu nhwehwɛmu ne mogya mu nhwehwɛmu a ɔbɛyɛ so. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ afieboa anaasɛ wususuw sɛ ebia woakɔ dɔte a efĩ wom mu a.

Sɔhwɛ titiriw a wɔde hu toxocariasis ne mogya mu nhwehwɛmu a wɔfrɛ no enzyme-linked immunosorbent assay (ELISA) . Saa nhwehwɛmu yi hwehwɛ nnuru a ɛko tia Toxocara wɔ wo mogya mu. Ɛnkyerɛ sɛ ebia mprempren wowɔ Toxocara yare no. Mmom no, ɛhwehwɛ nsɛnkyerɛnne wɔ wo mogya mu a ɛkyerɛ sɛ wo nipadua mu tumi a ɛko tia nyarewa no ayɛ wɔn ade wɔ ɔyare mmoawa bi ho wɔ nnansa yi bere a atwam no mu.

Oduruyɛfo no betumi akamfo nhwehwɛmu afoforo nso akyerɛ de asi ɔyare no so dua bio, te sɛ:

• Complete blood count (CBC): Eyi hwɛ mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa, mogya mu nkwammoaa, ne hemoglobin dodow a ɛwɔ mogya no mu.
• Mfoninitwa sɔhwɛ ahorow:Sɛ nhwɛso no, wobetumi ayɛ ultrasound, CT scan, anaa MRI scan de ahwɛ sɛ ɛho ahonhon anaa.
• Nsu a wɔde yɛ nhwehwɛmu: Eyi hwehwɛ adanse a ɛkyerɛ sɛ mmoawa a wɔsɛe nnɔbae wɔ nsu mu.
• Biopsy: Wɔfa ntini a ɛka no no ketewaa bi na wɔhwehwɛ mu hwɛ sɛ nwansena wɔ hɔ anaa (wɔntaa nyɛ eyi).

Dɛn ne ayaresa ahorow a wɔde sa eyi? So ɛsɛ sɛ mehaw me ho?

Asɛmpa no ne sɛ nnipa dodow no ara a wɔwɔ Visceral Larva Migrans no nhia ayaresa titiriw biara. Mpɛn pii no, ahomegye ne twɛn a wɔbɛtwɛn ma ɔfe no ankasa ano abrɛ ase nkutoo ne nea ehia.

Nanso, sɛ wowɔ sɛnkyerɛnne ahorow a, ebia wo duruyɛfo bɛkamfo nneɛma te sɛ:

• Fa corticosteroids anaa nnuru a ekum ɔyare mmoawa a ɛnyɛ steroid (NSAIDs) tew ɔfe so .
• ‍ ‍ `(Antihistamines)` .

Sɛ wo duruyɛfo hu sɛ wowɔ nwansena a wɔte ase wɔ wo nipadua mu a, ebia ɔbɛkyerɛw nnuru a ekum mmoawa a wɔsɛe nnɔbae ama wo de akum wɔn. Eyi betumi aboa ma nwansena a wɔte ase no ankɔ wo nipadua mu na wɔasɛe ade bio. Eyi ho hia titiriw na amma w’ani, w’amemene, anaa w’akyi berɛmo ansɛe.

Wobɛyɛ dɛn akwati eyi? Dɛn ne akwan a wɔfa so siw ano?

Nneɛma kakraa bi wɔ hɔ a ɛnyɛ den a yebetumi ayɛ de abɔ yɛn ho ban afi tebea yi ho (Visceral Larva Migrans):

• Kwati sɛ wubedi nnuan a wodua wɔ asase a ebia na akraman anaa mpataa nsu ayɛ mu ma.
• Hwɛ wo mma yiye bere a wɔredi agoru wɔ abɔnten no. Mma wɔmfa efĩ nhyɛ wɔn anom.
• Hohoro nnuaba ne nhabannuru yiye ansa na woadi.
• Fa nyɛ wo su sɛ wobɛhohoro wo nsa yiye . Kyerɛkyerɛ wo mma ma wɔnhohoro wɔn nsa ansa na wɔadi, bere a wɔadi agoru wɔ abɔnten, ne bere a wɔde wɔn nsa aka afieboa awie no.
• Fa beae pɔtee bi si hɔ ma w’ayɛmmoa sɛ wɔbɛtow wɔn ho agu. Fa wɔn nsu gu bag mu na tow gu yiye, anaasɛ ma nwura adaka no ho ntew mma mpataa.
• Fa w’ayɛmmoa kɔ mmoa ho ɔyaresafo nkyɛn daa kɔhwɛ sɛ ebia mmoawa a wɔsɛe nnɔbae wɔ wɔn mu na ma wɔn nnuru a wɔde yi nwansena.

Sɛ minya saa yare yi a, dɛn na ɛba? So wɔbɛsa no yare?

Mpɛn pii no, ɔyare mmoawa yi ankasa sa a wonnya ayaresa biara.

Nsɛnnennen a ɛtra hɔ kyɛ no ho yɛ na koraa. Sɛ ɛba a, ebia nea ɛka ho ne:

• Koma mu ntini a ɛyɛ hyew (myocarditis) .
• Ahurututu mu yare
• Ahurututu mu ntini mu akuru (ahurututu mu ntini a ɛyɛ mmerɛw) .

Wɔn a wɔwɔ tebea horow a yɛadi kan aka ho asɛm `Ocular larva migrans` (ɛka aniwa) ne `Neurotoxocariasis` (ɛka amemene ne akyi berɛmo) no betumi anya nsɛnnennen a emu yɛ den. Nhwɛsoɔ:

• Anifurae a ɛyɛ anifurae
• Amemene ne akyi berɛmo a ɛho ahonhon (meningoencephalitis) .

Yɛbɛyɛ dɛn ahwɛ yɛn ho ne yɛn mma? Yɛbɛyɛ dɛn atumi asiw eyi ano bio?

Sɛ wo anaa wo ba no wɔ Visceral Larva Migrans a, ɛho hia sɛ wuhu sɛnea ɛyɛe sɛnea ɛbɛyɛ a wubetumi asiw ɔyare mmoawa a ɛbɛba daakye ano.

Sɛ wowɔ ɔkraman anaa ɔkraman a, fa wɔn kɔ mmoa ho ɔyaresafo nkyɛn daa ma wɔnkɔhwɛ wɔn na wɔmfa wɔn ho nhyɛ nwansena mu. Bisa wo mmoa ho ɔyaresafo fa nwansena a wɔma ɛyɛ daa ho asɛm, titiriw sɛ w’ayɛmmoa yɛ abɔnten so afieboa a.

Toxocara nkesua tumi tra asase no mu asram pii. Enti, sɛ wohohoro afieboa nsu mu bere a wuhu ara pɛ a, ebetumi aboa ma woasiw ɔyare mmoawa ano.

Ebia woresusuw sɛ, "Oo, ɛbɛyɛ dɛn na m'ayɛmmoa a medɔ no no retrɛw yare bi mu akɔ m'abusua mu?" Nanso, nokwasɛm ne sɛ, akraman ne mpataa tumi de nwansena kurukuruwa a wɔfrɛ no ``Visceral Larva Migrans'' kɔ wɔn dwensɔtwaa mu. Sɛ wowɔ afieboa a, hwɛ yiye kɛse bere a woresiesie wɔn nsu mu no, na fa wɔn kɔ mmoa ho ɔyaresafo nkyɛn daa.

Enti, nneɛma bɛn na ɛsɛ sɛ yɛkae fi saa asɛm yi mu?

Yɛaka saa nwansena yareɛ a wɔfrɛ no ``Visceral Larva Migrans'' yi ho asɛm pii nnɛ. Enti, ade a ɛho hia sen biara ne sɛ eyi yɛ yare a wotumi siw ano.

• Yebetumi anya saa nwansena nkesua yi afi yɛn afieboa hɔ, titiriw denam wɔn nsu mu.
• Mmofra nkumaa na wɔwɔ asiane kɛse mu, efisɛ ebia wɔde nwansena nkesua bɛhyɛ wɔn anom a wonnim bere a wɔde dɔte redi agoru no.
• Ahotew ne ade a ɛho hia sen biara. Nsa a wobɛhohoro yiye, nnuaba ne nhabannuru a wobɛhohoro ansa na woadi, ne afieboa nsu a wobɛtow agu yiye ho hia yiye.
• Mma wo werɛ mmfi sɛ wobɛpopa w’ayɛmmoa wɔ bere ano. Bisa wo mmoa ho ɔyaresafo no afotu wɔ eyi ho.

Sɛ wohwɛ saa nneɛma yi so a, wo ne w’abusua, titiriw wo mma a wodɔ wɔn no, betumi anya apɔwmuden na ahobammɔ wɔ saa nwansena yare a wɔfrɛ no `(Visceral Larva Migrans)` yi ho. Biribiara nni hɔ a ɛsɛ sɛ wosuro, nhumu ne ahwɛyiye ne nneɛma a ɛho hia sen biara!

` Nwansena, mmoawa nyarewa, mmofra akwahosan, Toxocara, Visceral Lava Migration, asase, afieboa